Provider Demographics
NPI:1356170344
Name:Y COUNSELING AND CONSULTING, S-CORP
Entity type:Organization
Organization Name:Y COUNSELING AND CONSULTING, S-CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AFIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:YABUKU
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-405-0511
Mailing Address - Street 1:2675 PACES FERRY RD SE STE 140
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-4089
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2675 PACES FERRY RD SE STE 140
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-4089
Practice Address - Country:US
Practice Address - Phone:404-405-0511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)